Robert James Anderson, MD
Individual provider Active NPI Family Medicine Physician · Green Bay, WI
NPI 1477559938 · NPPES record last updated Oct 6, 2022
Key facts
- NPI
- 1477559938
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 37942 (WI)
- Practice address
- 2502 S Ashland Ave
Green Bay, WI 54304-5252 - Phone
- (920) 496-4700
- NPI assigned
- Jun 21, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 30
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Medical College of Wisconsin, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. Nicholas Hospital-Sisters of the Third Order of St Francis
St Vincent Hospital-Hospital Sisters-Third Order of St Francis
St Clare Memorial Hospital, Inc
Practice addresses (Care Compare)
1411 N Taylor Dr
Sheboygan, WI 53081-3043
Phone (920) 457-4858
2502 S Ashland Ave
Green Bay, WI 54304-5252
Phone (920) 496-4700
3100 Superior Ave
Sheboygan, WI 53081-1948
Phone (920) 459-8300
835 S Main St
Oconto Falls, WI 54154-1282
950 Woodlake Rd
Kohler, WI 53044-1348
Phone (920) 783-3150
Hospital & facility affiliations
- St Vincent Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040311001325 | WI | Practitioner - Family Practice | 4789573346 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37942 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Family Medicine | Current |
Accepting new patients |
| Prevea Clinic, Inc. | Family Medicine | Current |
Accepting new patients |
| St. Nicholas Hospital-Sisters of the Third Order of St Francis | Family Medicine | Current | Accepting new patients |
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Current |
Accepting new patients | |
| Prevea Clinic, Inc. | Family Medicine | Current | Accepting new patients |
| St. Nicholas Hospital-Sisters of the Third Order of St Francis | Current |
Accepting new patients | |
| St Clare Memorial Hospital, Inc | Current |
Accepting new patients | |
| St Nicholas Hospital-Sisters of the Third Order of St Francis | Current |
Accepting new patients |
Locations
1510 Fremont St
Algoma, WI 54201
Phone (920) 487-3676
704 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-3784
2305 San Luis Pl
Green Bay, WI 54304
Phone (920) 494-2817
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
2502 S Ashland Ave
Green Bay, WI 54304
Phone (920) 496-4750
575 4th St
Kewaunee, WI 54216
Phone (920) 388-4640
855 S Main St
Ste 1
Oconto Falls, WI 54154
Phone (920) 846-8187
3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710
Interoperability endpoints
- randerson32405@direct.thedacare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 37942 | WI | Yes |
Addresses
Primary practice location
2502 S Ashland Ave
Green Bay, WI 54304-5252
Mailing address
PO Box 19070
Green Bay, WI 54307-9070
Phone (920) 496-4700
Other practice location 1
831 Parker St
Algoma, WI 54201-0185
Phone (920) 487-3676
Other practice location 2
1630 Commanche Ave
Green Bay, WI 54313-5753
Phone (920) 433-6000
Other practice location 3
3415 Custer St
Manitowoc, WI 54220-4324
Phone (920) 652-9310
Other practice location 4
575 4th St
Kewaunee, WI 54216-1785
Phone (920) 388-4640
Other practice location 5
3263 Eaton Rd
Green Bay, WI 54311-6830
Phone (920) 433-6700
Other practice location 6
140B School Creek Trl
Luxemburg, WI 54217-1095
Phone (920) 845-1370
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34238600 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | randerson27786@ewd.direct.hshs.org | Direct |
Other providers in Green Bay, WI
- Lisa A Anderson
- Lori T Anderson
- Melissa A Anderson
- Paul Anderson
- Polly Alison Anderson
- Sara Ann Anderson
- Sara L Anderson
- Sara Lynn Anderson
- Sarah Lynn Anderson
- Shannon M Anderson
All providers in Green Bay, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.